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CANDICE C JOHNSON PSY.D.

Clinical >> Psychologist >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1831641901

Individual Registrant:
 CANDICE C JOHNSON PSY.D.
Gender: F
Not Sole Proprietor

Location and contact information for practice:
5000 MIRAMAR DR UNIT 5120  MADEIRA BEACH, FL 33708-3416 US
Tel: 727-291-2367  Fax: --

Contact information for business:
5000 MIRAMAR DR UNIT 5120  MADEIRA BEACH, FL 33708-3416 US
Tel: 954-732-8267  Fax: --

Registration Information:
NPI: 1831641901
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103TC0700XBehavioral Health & Social Service Providers
Psychologist
Clinical
FL9973

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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